Understanding the UK health system Flashcards
Who introduced the idea of the NHS?
Aneurin Bevan
What are the 3 founding principles/values the NHS was built on?
Universality
Equitable
Free at the point of delivery
Are GPs employees of the NHS like hospital workers?
No- GPs are private businesses
True or False, the BMA fought against the principle of universality within the NHS?
True
How did demand for the NHS compare to Bevan’s expectations?
demand exceeded what was expected and did not stabilise but continued to increase
What were some benefits seen 10 years after the introduction of the NHS?
Child mortality decreased
Maternal mortality reduced
Deaths from infectious diseases decreased
Life expectancy increased
What are some key events/changes in the development of the NHS?
The internal market -1989
Health and social care act of 2012 - introduced CCGs and created NHS England to try to take politics out of the NHS
The NHS long term plan 2019
What are some challenges now faced by the NHS?
Spending has increased but funding has not kept up with demand
Hospital beds have decreased
Staff shortages
Social care cannot keep up with demand
Demand for A&E services are rapidly increasing
Number of people on waiting lists for elective care is increasing
Demand for GP consultations is increasing but number of GPs is decreasing
Number of practicing doctors per 1000 inhabitants is below EU average - need 46,000 more doctors to get us to average
How does the NHS compare to other healthcare systems?
In top 5 - was number 1 but dropped to number 4 in 2021 in healthcare performance rankings
How is social care funded?
Dependent on finances how much you pay/ are expected to contribute i.e. it is means tested
Who organises social care?
Local authorities